To obtain an optometric faculty certificate pursuant to Section 463.0057, F.S., the applicant must submit an Initial Optometry Faculty Certificate Application, form number DH-MQA 1134, Revised 4/2025 which is hereby incorporated by reference and can be obtained from the board office or at: http://www.floridaasoptometry.gov, or HYPERLINK "http://www.flrules.org/Gateway/reference.asp?No=Ref-18214"http://www.flrules.org/Gateway/reference.asp?No=Ref-18214, and the fees set forth in Rule 64B13-6.001, F.A.C.

Rulemaking Authority 456.0135(1), 463.005(1), 463.0057(1) FS. Law Implemented 456.0135, 463.0635, 463.0057 FS. History–New 4-2-09, Amended 10-18-10, 7-13-16, 1-2-20, 12-20-20, 7-20-25.